Dawson Angela, Brodie Patricia, Copeland Felicity, Rumsey Michele, Homer Caroline
World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development, Faculty of Health, University of Technology, Sydney (UTS), Sydney, New South Wales, Australia.
World Health Organization Collaborating Centre for Nursing, Midwifery and Health Development, Faculty of Health, University of Technology, Sydney (UTS), Sydney, New South Wales, Australia.
Midwifery. 2014 Apr;30(4):391-402. doi: 10.1016/j.midw.2013.05.009. Epub 2013 Jul 1.
to explore collaborative approaches undertaken to build midwifery education, regulation and professional association in low income countries and identify evidence of strategies that may be useful to scale-up midwifery to achieve MDG 5.
an integrative review involving a mapping exercise and a narrative synthesis of the literature was undertaken. The search included peer reviewed research and discursive literature published between 2002 and 2012.
fifteen papers were found that related to this topic: 10 discursive papers and five research studies. Collaborative approaches to build midwifery capacity come mainly from Africa and involve partnerships between low income countries and between low and high income countries. Most collaborations focus on building capacity across more than one area and arose through opportunistic and strategic means. A number of factors were found to be integral to maintaining collaborations including the establishment of clear processes for communication, leadership and appropriate membership, effective management, mutual respect, learning and an understanding of the context. Collaborative action can result in effective clinical and research skill building, the development of tailored education programmes and the establishment of structures and systems to enhance the midwifery workforce and ultimately, improve maternal and child health.
between country collaborations are one component to building midwifery workforce capacity in order to improve maternal health outcomes.
the findings provide insights into how collaboration can be established and maintained and how the contribution collaboration makes to capacity building can be evaluated.
探讨在低收入国家建立助产士教育、监管和专业协会所采用的合作方法，并确定可能有助于扩大助产士规模以实现千年发展目标5的策略证据。
进行了一项综合审查，包括绘图练习和文献叙述性综合。搜索范围包括2002年至2012年发表的同行评审研究和论述性文献。
发现了15篇与该主题相关的论文：10篇论述性论文和5项研究。建立助产士能力的合作方法主要来自非洲，涉及低收入国家之间以及低收入和高收入国家之间的伙伴关系。大多数合作侧重于在多个领域建立能力，并且是通过机会主义和战略手段产生的。发现一些因素对于维持合作不可或缺，包括建立明确的沟通、领导和适当成员资格流程、有效管理、相互尊重、学习以及对背景的理解。合作行动可以带来有效的临床和研究技能培养、制定量身定制的教育计划以及建立加强助产士队伍的结构和系统，最终改善母婴健康。
国家间合作是建立助产士队伍能力以改善孕产妇健康结果的一个组成部分。
研究结果提供了关于如何建立和维持合作以及如何评估合作对能力建设的贡献的见解。
